Severe Hypoglycaemia No IV — RACP Adult Medicine MCQ

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EasyEmergency MedicineSevere Hypoglycaemia No IVRACP Adult Medicine

A 35-year-old man with T1DM is hypoglycaemic (glucose 1.8 mmol/L), unable to swallow, and IV access is difficult. What treatment?

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Correct answer: A — IM glucagon 1 mg

IM glucagon 1 mg when no IV access and unable to swallow. Stimulates hepatic glycogenolysis, raises glucose within 10–15 minutes.

Reference: eTG – 2025 – Endocrinology; ADS – 2024